... utilization review experience • Three years of recent experience doing third party payer certification
... utilization review experience • Three years of recent experience doing third party payer certification
Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status. Also ...
Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status. Also ...
Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status. Also ...
Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status. Also ...
Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status. Also ...
Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status. Also ...
Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status. Also ...
Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status. Also ...
Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status. Also ...
Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status. Also ...
Monitors performance activities, including patient access and availability; utilization review and ... Attend local or out-of-town training opportunities or meetings as assigned. * Assist in the ...
Monitors performance activities, including patient access and availability; utilization review and ... Attend local or out-of-town training opportunities or meetings as assigned. * Assist in the ...
Chief Dental Officer
Saginaw, MI · On-site
Monitors performance activities, including patient access and availability; utilization review and ... Attend local or out-of-town training opportunities or meetings as assigned. * Assist in the ...
Chief Dental Officer
Saginaw, MI · On-site
Monitors performance activities, including patient access and availability; utilization review and ... Attend local or out-of-town training opportunities or meetings as assigned. * Assist in the ...
Chief Dental Officer
Saginaw, MI · On-site
$100 - $130/hr
Monitors performance activities, including patient access and availability; utilization review and ... Attend local or out-of-town training opportunities or meetings as assigned. * Assist in the ...
Chief Dental Officer
Saginaw, MI · On-site
$100 - $130/hr
Monitors performance activities, including patient access and availability; utilization review and ... Attend local or out-of-town training opportunities or meetings as assigned. * Assist in the ...
Chief Dental Officer
Saginaw, MI · On-site
Monitors performance activities, including patient access and availability; utilization review and ... Attend local or out-of-town training opportunities or meetings as assigned. * Assist in the ...
Chief Dental Officer
Saginaw, MI · On-site
Monitors performance activities, including patient access and availability; utilization review and ... Attend local or out-of-town training opportunities or meetings as assigned. * Assist in the ...
Multiple Openings for Registered Nurse in GRAND BLANC, M
Grand Blanc, MI · On-site
$40 - $50/hr
This position integrates discharge planning, utilization review, and care coordination to promote ... care. * Assist in discharge planning, ensuring appropriate post-hospital care, including home ...
Quick apply
Multiple Openings for Registered Nurse in GRAND BLANC, M
Grand Blanc, MI · On-site
$40 - $50/hr
This position integrates discharge planning, utilization review, and care coordination to promote ... care. * Assist in discharge planning, ensuring appropriate post-hospital care, including home ...
Bachelor's degree in coding/medical records/billing or UM Two years of case management or utilization review experience Three years of recent experience doing third party payer certification ...
Bachelor's degree in coding/medical records/billing or UM Two years of case management or utilization review experience Three years of recent experience doing third party payer certification ...
Physician Reviewer-Radiology (Full-Time)
Lansing, MI · On-site
$95 - $96/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Physician Reviewer-Radiology (Full-Time)
Lansing, MI · On-site
$95 - $96/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Rheumatologist-Physician Reviewer-Radiology (Full-Time)
Lansing, MI · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Rheumatologist-Physician Reviewer-Radiology (Full-Time)
Lansing, MI · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Administrative Functions: * Assist the Assistant Director of Nursing Services in directing the day ... Attend and participate in the Utilization Review Committee functions as required or as may be ...
Administrative Functions: * Assist the Assistant Director of Nursing Services in directing the day ... Attend and participate in the Utilization Review Committee functions as required or as may be ...
Registered Nurse - Patient Placement Specialist Casual- Nursing Support
Bay City, MI · On-site
$65 - $85/hr
... utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status.Also, responsible for overseeing the daily ...
Registered Nurse - Patient Placement Specialist Casual- Nursing Support
Bay City, MI · On-site
$65 - $85/hr
... utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status.Also, responsible for overseeing the daily ...
... utilization * Communicate findings and trends to leadership * Participate in QAPI and quality improvement initiatives as needed * Conduct inter-rater reliability reviews when applicable * Assist with ...
Quick apply
... utilization * Communicate findings and trends to leadership * Participate in QAPI and quality improvement initiatives as needed * Conduct inter-rater reliability reviews when applicable * Assist with ...
... utilization * Communicate findings and trends to leadership * Participate in QAPI and quality improvement initiatives as needed * Conduct inter-rater reliability reviews when applicable * Assist with ...
New
... utilization * Communicate findings and trends to leadership * Participate in QAPI and quality improvement initiatives as needed * Conduct inter-rater reliability reviews when applicable * Assist with ...
New
Recommend and assist in acquisition of technology and other tools or equipment and resources to ... Minimum of 3 years of utilization management or utilization review experience in an acute care ...
Recommend and assist in acquisition of technology and other tools or equipment and resources to ... Minimum of 3 years of utilization management or utilization review experience in an acute care ...
MDS / Discharge Nurse
Saginaw, MI · On-site
$31.75 - $41.50/hr
... * Assist with quality improvement initiatives, audits, and regulatory readiness activities ... and utilization review concepts. PREFERRED : * Bachelor's degree in Nursing, Healthcare ...
MDS / Discharge Nurse
Saginaw, MI · On-site
$31.75 - $41.50/hr
... * Assist with quality improvement initiatives, audits, and regulatory readiness activities ... and utilization review concepts. PREFERRED : * Bachelor's degree in Nursing, Healthcare ...
Utilization Review Assistant information
See Michigan salary details
$9.29 - $13.51
14% of jobs
$15.67 is the 25th percentile. Wages below this are outliers.
$13.51 - $17.73
22% of jobs
$17.73 - $21.95
13% of jobs
The median wage is $22.44 / hr.
$21.95 - $26.18
14% of jobs
$26.18 - $30.40
11% of jobs
$31.45 is the 75th percentile. Wages above this are outliers.
$30.40 - $34.62
9% of jobs
$34.62 - $38.84
7% of jobs
$38.84 - $43.06
4% of jobs
$43.06 - $47.29
3% of jobs
$47.29 - $51.51
2% of jobs
$51.51 - $55.73
1% of jobs
$9
$27
$55
How much do utilization review assistant jobs pay per hour?
As of Sep 6, 2026, the average hourly pay for utilization review assistant in Michigan is $27.18, according to ZipRecruiter salary data. Most workers in this role earn between $15.41 and $33.35 per hour, depending on experience, location, and employer.
What is a utilization review assistant?
A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.
What does a utilization review assistant do?
A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.
What skills and qualifications are needed to be a utilization review assistant?
To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.
How do I get into a utilization review assistant?
To become a utilization review assistant, candidates typically need a high school diploma or equivalent, with some roles preferring healthcare-related certifications or experience. Strong organizational skills, attention to detail, and familiarity with medical records and insurance processes are important; some positions may require knowledge of healthcare management software. Gaining relevant experience or certifications can improve job prospects in this field.
What are the most commonly searched types of Utilization Review jobs in Michigan?
The most popular types of Utilization Review jobs in Michigan are:
What are popular job titles related to Utilization Review Assistant jobs in Michigan?
For Utilization Review Assistant jobs in Michigan, the most frequently searched job titles are:
- Flex Schedule Remote Utilization Review Nurse
- Utilization Review Nurse
- Evening Utilization Review Nurse
- Temporary Utilization Review Nurse
- Full Time Physician Advisor Utilization Review
- Utilization Review Physician
- Remote Utilization Review Social Worker
- Per Diem Utilization Review Nurse
- Weekend Physician Advisor Utilization Review
- Work From Home Oasis Review Nurse
What job categories do people searching Utilization Review Assistant jobs in Michigan look for?
The top searched job categories for Utilization Review Assistant jobs in Michigan are:
- Remote International Utilization Review Nurse
- Lpn Utilization Review
- Remote Weekend Utilization Review
- Remote Bcba Utilization Review
- Behavioral Utilization Review
- Manager Optum Utilization Review
- Remote Optum Utilization Review
- Full Time Cigna Utilization Review Nurse
- Utilization Review Case Manager
- Utilization Review Manager
What cities in Michigan are hiring for Utilization Review Assistant jobs?
Cities in Michigan with the most Utilization Review Assistant job openings:
Integrated Care Management Administrative Assistant
Flint, MI • On-site
Full-time
Re-posted 14 days ago
McLaren Health Care rating
6.7
Based on 221 frontline employees who took The Breakroom Quiz
533rd of 898 rated healthcare providers
Job description
Department: Case Management
Hours per pay period: 0
Schedule: 8:00 a.m. - 4:30 p.m.
Position Summary: Responsible for providing assistance to the RN and SW Care Managers in the coordination of discharge and transition plans, as well as, performing clerical functions to ensure the efficient operation of the ICM department.
Essential Functions and Responsibilities as Assigned:
1. Assists with facilitating discharge planning to expedite a successful transition of care.
2. Assists RN and SW Care Managers with the referral process by collecting and distributing informational brochures/pamphlets that enhance patient/family choice of providers, agencies and other professional health care services.
3. Assists with the coordination post discharge placement and services by making referrals, confirming specific placement and service arrangements, processing, organizing and obtaining insurance verification and/or prior authorization from insurance companies for discharge arrangements.
4. Assists with contacting community resources to coordinate discharged transition plans while using professional tact and diplomacy skills between patients, colleagues and community.
5. Performs concurrent and retrospective utilization management-related activities and functions to ensure that appropriate data are tracked, evaluated, and reported including Important Message from Medicare (IMM) and Medicare Outpatient Observation Notice (MOON) completion.
Required
• Associate degree in healthcare-related field
• Two years of clerical experience
• One-year experience in a heath care environment utilizing medical terminology or have completed a college level course in medical terminology
• Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training network (MTN)
Preferred:
• Bachelor's degree in coding/medical records/billing or UM
• Two years of case management or utilization review experience
• Three years of recent experience doing third party payer certification
Hours per pay period: 0
Schedule: 8:00 a.m. - 4:30 p.m.
Position Summary: Responsible for providing assistance to the RN and SW Care Managers in the coordination of discharge and transition plans, as well as, performing clerical functions to ensure the efficient operation of the ICM department.
Essential Functions and Responsibilities as Assigned:
1. Assists with facilitating discharge planning to expedite a successful transition of care.
2. Assists RN and SW Care Managers with the referral process by collecting and distributing informational brochures/pamphlets that enhance patient/family choice of providers, agencies and other professional health care services.
3. Assists with the coordination post discharge placement and services by making referrals, confirming specific placement and service arrangements, processing, organizing and obtaining insurance verification and/or prior authorization from insurance companies for discharge arrangements.
4. Assists with contacting community resources to coordinate discharged transition plans while using professional tact and diplomacy skills between patients, colleagues and community.
5. Performs concurrent and retrospective utilization management-related activities and functions to ensure that appropriate data are tracked, evaluated, and reported including Important Message from Medicare (IMM) and Medicare Outpatient Observation Notice (MOON) completion.
Required
• Associate degree in healthcare-related field
• Two years of clerical experience
• One-year experience in a heath care environment utilizing medical terminology or have completed a college level course in medical terminology
• Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training network (MTN)
Preferred:
• Bachelor's degree in coding/medical records/billing or UM
• Two years of case management or utilization review experience
• Three years of recent experience doing third party payer certification
What McLaren Health Care employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About McLaren Port Huron
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Port Huron, MI, US